Wayne County, NY · Wayne County
Zoning Referral Form
This form refers a proposed development or land-use application to the Wayne County Planning Board for review by a town or village.
At a glance
- Issued by
- City of Wayne County · Wayne County, Wayne County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- waynecountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
A town or village uses this form to refer a proposed development or land-use application to the Wayne County Planning Board. It records the property, applicant, proposed development, requested review, and relevant site conditions, and includes a checklist of supporting materials such as a tax map, SEQR form, and scaled site plan.
Who needs it
A town or village submitting a proposed development or land-use application for Wayne County Planning Board referral needs this form.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This form is signed and dated without a notary; the verifying person also signs and dates the full-statement checklist, with no notarized attachment identified.
How to submit this form
- 1
Download the Form
Download the Zoning Referral Form for a proposed development or land-use application.
- 2
Complete the Form
Enter the applicant, property, development, review, and site information requested.
- 3
Gather Supporting Materials
Use the checklist to gather applicable materials, including a tax map, SEQR form, and scaled site plan.
- 4
Sign and Submit
Have the person responsible for verifying the full statement sign and date the form, then submit it to the county office named on the form.
Frequently asked questions
- Do I need a notary for the Zoning Referral Form?
- No. The form is signed without a notary. The person verifying that a full statement was submitted signs and dates the checklist; no notarized attachment is identified.
- How do I submit the Zoning Referral Form?
- Submit it to the county office named on the form; check the county website for current contact details.
- What information does the form request?
- It asks for applicant and property details, the proposed development and review type, site conditions, and comments about the application.
- What supporting materials are listed?
- The checklist includes the application materials submitted to the referring body, a tax map with the parcel highlighted, a SEQR form, an applicable agricultural data statement, and a scaled site plan.